Part I: Personal information
Items 1 to 9: the veteran's name, file number and date of birth, your name and date of birth if you are not the veteran, preferred mailing address, a homelessness box, phone, email and your representative's name.
VA10182
Decision Review Request: Board Appeal (Notice of Disagreement)
VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement), is the U.S. Department of Veterans Affairs form for appealing a VA decision to a Veterans Law Judge at the Board of Veterans' Appeals. The form says to use it only if the VA decision is dated on or after February 19, 2019. It is not the form for a Supplemental Claim (VA Form 20-0995) or a Higher-Level Review (VA Form 20-0996).
The form asks for personal information, one of three Board review options (Direct Review, Evidence Submission or a Hearing), each issue being appealed with the date of the decision, and a signature. The form says only the issues listed on it will be considered on appeal.
The June 2026 edition is one form page followed by two pages of instructions on the options, the filing time limits and where to send it. You can fill it out free in your browser on this page and download the result without an account.

Items 1 to 9: the veteran's name, file number and date of birth, your name and date of birth if you are not the veteran, preferred mailing address, a homelessness box, phone, email and your representative's name.
Item 10 takes one box: 10A Direct Review, 10B Evidence Submission or 10C Hearing. The form says a Veterans Law Judge considers appeals in the order received, depending on the option selected.
Box 10C lists a Central Office hearing in person in Washington, DC, a videoconference hearing at a Regional Office, or a virtual telehearing on an internet-connected device. For a telehearing, the form asks for an email address and representative in Part I.
Item 11A lists each issue and 11B the date of the decision, with the area of disagreement such as service connection, disability evaluation or effective date. Box 11C marks attached extra sheets.
One box asks the Board to issue a decision as soon as possible, which the form says ends the chance to change the review option once the Board decides. Another adds a request for more time to file due to good cause.
Item 12 is an ink signature by the appellant or appointed representative, and Item 13 the date signed, certifying the statements are true and correct to the best of their knowledge and belief.
The form says to use it only for a VA decision dated on or after February 19, 2019, and to refer to the decision notice for the list of adjudicated issues.
Enter the veteran's name, file number and date of birth, your details if you are not the veteran, and your preferred contact information.
Check one box in Part II. The form says different options for different issues each need their own VA Form 10182, listing the issues for that option.
Enter each issue in 11A and the decision date in 11B. Extra sheets carry the veteran's last name and file number, with box 11C checked.
Sign Item 12 in ink and date Item 13. An appointed representative may sign on behalf of the appellant.
Mail the signed form to Board of Veterans' Appeals, P.O. Box 27063, Washington, DC 20038. The VA page says a Board Appeal can also be requested online.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
Board of Veterans' Appeals, P.O. Box 27063, Washington, DC 20038. The VA page says you can request a Board Appeal online instead of sending the paper form.
The form says it is to be "post-marked or received by the Board within one year (365 days) from the day that your local VA office mailed the notice of the decision," and that failing to submit on time could result in losing the right to appeal.
Opting in from an SOC or SSOC: within 60 days of the SOC or SSOC letter or within one year of the decision by the agency of original jurisdiction, whichever is later. A contested claim: within 60 days from the day the notice was mailed.
With Evidence Submission, the form says evidence is sent with the form or within 90 days of VA's receipt of it. With a Hearing, it is sent within 90 days after the hearing. Direct Review uses the evidence of record.
A new VA Form 10182 selecting a different option is filed within one year of the notice of decision or 60 days of the Board's receipt, whichever is later. The form says this is not possible after submitting evidence or testifying.
The form says a Veterans Service Organization or a VA-accredited attorney or agent can represent you or provide guidance, and the local VA regional office can assist.
A veteran can appeal all or only some of the issues previously decided. The form says only the issues listed on it will be considered on appeal.
Items 4 and 5 take the name and date of birth of an appellant who is not the veteran, alongside the veteran's name, file number and date of birth.
Someone with a Statement of the Case (SOC) or Supplemental Statement of the Case (SSOC) can opt into the modernized review system with this form, within the time the form states.
When several people claim the right to the same benefit, the form gives a shorter time limit of 60 days from the day the local VA office mailed the notice of the decision.
Item 9 names the representative, and the form says an appointed representative may sign on behalf of the appellant.
The form is for someone who received a decision from a local VA office or a higher-level adjudicator, disagrees with it, and wants one or more issues decided by a Veterans Law Judge.
The agency’s own page for Form VA10182.
The official blank form, to print or fill by hand.
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Direct Review, with no new evidence and no hearing; Evidence Submission, with added evidence but no hearing; and a Hearing with a Veterans Law Judge, which includes the option to submit evidence. The form says Direct Review often results in the quickest decision and the other two may take longer.
Yes. The form says a separate VA Form 10182 is submitted for each Board review option, listing the issues to be reviewed under that option.
The form says within one year (365 days) from the day your local VA office mailed the notice of the decision. It gives 60 days for a contested claim, and a separate window when opting in from an SOC or SSOC.
The form says a new VA Form 10182 can be submitted within one year of the notice of decision or within 60 days of the Board's receipt, whichever is later, but not after evidence has been submitted to the Board or testimony given at a hearing.
No. The form says to file VA Form 20-0995 for a Supplemental Claim or VA Form 20-0996 for a Higher-Level Review instead.
The form says that if not all the requested information is provided, VA will consider the form incomplete and contact you to request clarification and explain your options.
Yes. The form says you can check box 11C and attach sheets with more information, including why you believe VA decided an issue incorrectly, and that the Board will consider argument submitted with the form.